The Science Journal of the American Association for Respiratory Care

2006 OPEN FORUM Abstracts

Education, Staff Competency and Revised Documentation Promotes Reduced Duration of Mechanical Ventilation (MV). 

John S Emberger BS RRT, Gerard Fulda MD, Marc T Zubrow MD, Billie Speakman BS RRT, Departments of Respiratory Care, Surgery and Medicine, Christiana Care Health System, Newark DE.

Background: Awareness has increased for optimal timing of liberation from MV due to evidence-based weaning publications and Institute for Healthcare Improvement's 100K Lives campaign.  We wanted to determine if education, staff competencies and revised documentation had an effect on duration of MV at our institution.

Methods: RCP's underwent evidence-based education and simulated lab competency for weaning/extubation readiness. Ventilator documentation was revised to support evidence-based techniques.  These changes occurred between April and Sept 2005.  Duration of MV was analyzed for six months pre and post implementation.

Results: The pre-implementation phase included 1458 ventilator patients with average duration of MV = 5.7 + 7.6 days.  The post-implementation phase included 1338 patients with average duration of MV 5.3 + 8.1 days. Day 4 through 12 showed the most consistent reduction in duration of mechanical ventilation (see figure).



Conclusions: At our institution, education and simulated lab competency concerning liberation from MV, as well as revising the documentation to support evidence-based practice appears to have promoted quicker extubation and reduced duration of MV.

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